Cough Syncope Caused by Sinus Arrest in a Patient with Sick Sinus Syndrome
- 30 June 1989
- journal article
- case report
- Published by Wiley in Pacing and Clinical Electrophysiology
- Vol. 12 (6) , 883-886
- https://doi.org/10.1111/j.1540-8159.1989.tb05024.x
Abstract
Cough syncope is a syndrome in which dizziness or syncope occurs after prolonged bouts of cough. This paper presents a case of 63-year-old man with recurrent dizziness and syncope. The 24-hour ambulatory electrocardiogram and intracardiac electrogram showed sinus node dysfunction with sinus arrest, both spontaneous and inducible by voluntary cough. Sinus arrest was sometimes associated with dizziness. A permanent VVI pacemaker was implanted and no further cough syncope has occurred. We suggest that sinus arrest may play a role as a mechanism of cough syncope in a patient with sick sinus syndrome.Keywords
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